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The Study

Low-Fat Dietary Pattern and Risk of Cardiovascular Disease

In simple terms

This study gave some women a special diet and others a regular one to see if eating less fat and more veggies would stop heart problems. After many years, both groups had about the same number of heart issues — so the special diet didn’t help much.

48%

Analysis score

48/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting0
Methodology81
Publication100
Statistical0
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

Scientists gave thousands of older women a special diet with less fat and more veggies, fruits, and grains to see if it would prevent heart attacks and strokes.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
48

48 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1The changes in cholesterol and blood pressure were very small and didn't lead to fewer heart attacks or strokes.
  2. 2Fat intake went down by 8.2%, veggies/fruits up by 1.1 servings/day, grains up by 0.5 servings/day.
  3. 3LDL cholesterol dropped by 3.55 mg/dL, blood pressure dropped by 0.31 mm Hg.
  4. 4But heart attacks and strokes didn't go down.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

JAMA

Year

2006

Authors

Barbara V. Howard, Linda Van Horn, Judith Hsia, JoAnn E. Manson, Marcia L. Stefanick, Sylvia Wassertheil-Smoller, Lewis H. Kuller, Andrea Z. LaCroix, Robert D. Langer, Norman L. Lasser, Cora E. Lewis, Marian C. Limacher, Karen L. Margolis, W. Jerry Mysiw, Judith K. Ockene, Linda M. Parker, Michael G. Perri, Lawrence Phillips, Ross L. Prentice, John Robbins, Jacques E. Rossouw, Gloria E. Sarto, Irwin J. Schatz, Linda G. Snetselaar, Victor J. Stevens, Lesley F. Tinker, Maurizio Trevisan, Mara Z. Vitolins, Garnet L. Anderson, Annlouise R. Assaf, Tamsen Bassford, Shirley A. A. Beresford, Henry R. Black, Robert L. Brunner, Robert G. Brzyski, Bette Caan, Rowan T. Chlebowski, Margery Gass, Iris Granek, Philip Greenland, Jennifer Hays, David Heber, Gerardo Heiss, Susan L. Hendrix, F. Allan Hubbell, Karen C. Johnson, Jane Morley Kotchen

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